小學(xué)生入學(xué)申請書范本

studentname:________________________中文姓名:_______________

grade年級:_______sex性別:_____phone電話:__________________

dateofbirth出生日期:____/____/________(月/日/年)age年齡:_____

placeofbirth出生地:____________________________

address住址:__________________________________________________________

mother’sname母親姓名:_____________________________occupation職業(yè):_________________

workphone公司電話:_____________________homephone住家電話:_________________

address住址:________________________________________________________________________

father’sname父親姓名:______________________________occupation職業(yè):_________________

workphone公司電話:_____________________homephone住家電話:_________________

address住址:________________________________________________________________________

childliveswith學(xué)童和誰住在一起:1)mother母____2)father父____3)guardian監(jiān)護(hù)人____(pleasestateguardian’sname,relationshiptochildandreasonchildhasaguardian.請注明監(jiān)護(hù)人之姓名,與學(xué)童之關(guān)系及需要監(jiān)護(hù)人之理由.)

dothegrandparentsliveinthefamilyhomewiththechild祖父母是否與學(xué)童住在一起_______

numberofbrothers兄弟人數(shù)______ages年齡______________

numberofsisters姊妹人數(shù)______ages年齡______________

howmanysiblingsdoesthechildlivetogetherwith與學(xué)童住在一起之兄弟姊妹有多少位_______

religiousfaithofparents父母之宗教信仰:______________________

doeschildembracethatfaith學(xué)童是否也信仰該宗教___________

aretheprinciplesofreligiondiscussedinthedailylifeofthefamily是否要求學(xué)童遵循該教之教義_____

hasthechildhadanybuddhistinstruction學(xué)童有否受過任何佛學(xué)教育__________________

ifso,underwhom從誰受教____________________________

doesthefamily(includingchild)attendreligiousservices學(xué)童與家人參加宗教儀式有多頻繁

daily每天weekly每周occasionally偶而infrequently很少_______

educationhistory就學(xué)經(jīng)歷

doeschildspeakenglishfluently學(xué)童能否說流利的英語______

otherlanguages其他語言_______________________________________________________

speciallearninggifts學(xué)習(xí)特長:___________________________________________________

learningdisabilities學(xué)習(xí)障礙:____________________________________________________

specialeducationprogramsparticipatedin參與過之特殊教育:__________________________

previousschoolsattended曾就讀過之學(xué)校

school

校名

address

校址

datesattended

就讀日期

reasonforleaving/transfer

離?；蜣D(zhuǎn)學(xué)理由

cumulativerecordcurrentlyatwhichschool目前就讀之學(xué)校

school校名

address校址

phone電話

iherebycertifythatalltheinformationprovidedaboveistrue,andallquestionshavebeenansweredaccurately,completelyandtot